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Thank you for your interest in volunteering at the Centre for Better Health.
This form is for individuals who would like to volunteer at our social enterprise


Which enterprise would you like to volunteer for?:

PERSONAL DETAILS



Date of Birth (submit as dd/mm/yyyy):
Gender:
Gender Self-Description:
Employment Status:

Current Address




Borough:
If you are from outside of London, please indicate where from below:


Can we leave a voicemail?:

EMERGENCY CONTACT

Please provide the details of a person to contact in case of emergency. This can be someone who is supporting you through another service, or a friend or family member. Please ensure that the emergency contact is someone who is often available

Emergency contact:
Emergency contact relation to you:
Emergency contact phone number:

Please confirm that this information has been provided:

EDUCATION

Name of school:
Dates attended:
Name of university / college (if applicable):
Dates attended:
Qualification(s) gained:
Other qualifications:

WORK AND VOLUNTEERING

Current employer:
Current employer address:
Position held:

Relevant work experience (paid or voluntary)

Experience 1

Organisation:
Address:
Position held:
Dates to/from:

Experience 2

Organisation:
Address:
Position held:
Dates to/from:

Experience 3

Organisation:
Address:
Position held:
Dates to/from:

SKILLS AND EXPERIENCE

Please read the role description for the role you are applying for, prior to completeing this section.

What relevant skills, knowledge and experience do you have?:
What personal qualities can you bring to this role?:
What experience do you have working with adults with low wellbeing or mental ill health?:
Why do you want to volunteer for the Centre for Better Health?:

AVAILABILITY

When are you available to start?:
Please indicate your availability

To select multiple options:
For Windows: Hold down the control (ctrl)+ select
For Mac: Hold down the command button


REFERENCES AND CHECKS

If you are offered a placement, this will be conditional until we receive two satisfactory references and a Disclosure and Barring Service (DBS) check. Note that our volunteer placements are exempt from the Rehabilitation of Offenders Act 1974.

DBS check

Do you have any spent or unspent criminal convictions, cautions, reprimands or warnings?:
If yes, please give details of your criminal conviction(s):
Are you registered with the DBS online update service*?
* The certificate you have registered should be an Enhanced Check to work with adults*

References

Please provide the details of two referees that we can contact in case that you are offered a volunteering placement. These should ideally be a previous or current line manager (wheather for a paid or voluntary role), and/or a teacher/tutor if you are in education.

Reference 1

Name:
Email:
Job title:
How is this person known to you?:

Reference 2

Name:
Email:
Job title:
How is this person known to you?:

DIVERSITY MONITORING

We are committed to ensuring that the clients and volunteers we work with reflect the diversity of our community, and that barriers that prevent underrepresented groups from accessing our services are gradually identified and removed.
To help us to do this, we encourage you to answer the below questions.

How did you hear about our service?:

Ethnicity:
Ethnic Category- Other:

Religion or Belief:
Other Religion or Belief:

Sexual Orientation:
Other Sexual Orientation:

Housing Status:
Other Housing Status:

Relationship Status:

First Language
Experience of criminal justice system:

END

The Centre for Better Health needs to collect this data about you in order to assess your suitability for a volunteer placement. We will use the information that you have provided in accordance with the Data Protection Act 2018. You can read our Privacy Notice for information on how we handle your data.

Please type your name below to confirm that you agree to your data being stored and processed by the Centre for Better Health.

Consent:

Communication Preferences:

If your application is successful, we would love to keep in touch with you during your volunteering to keep you in the loop with what's going on at the Centre for Better Health. Emails may include positive outcomes from the service, surveys to get feedback on your volunteering experience and information about internal events and changes.

I would like to receive information from the Centre for Better Health by email:

If you tick 'no', we will still need to communicate with you via the email address you have provided regarding your application and your volunteering role if you are successful.

We may use Mailchimp to send you emails. By opting in to receive emails from us, you acknowledge that your information could be transferred to Mailchimp for processing. You can change your mind by clicking the unsubscribe link in the footer of any email you receive from us via Mailchimp or by contacting reception@centreforbetterhealth.org.uk

To submit your application click "SUBMIT"